t +61 2 9219 2002

Please complete this form yourself, on behalf of a family member or client to the best of your ability. Fields marked with an asterisk (*) are compulsory. Please note, as you click 'Next' through the sections, you may need to scroll back to the top of each page.

Before you start, please gather information about yourself or the person to help you complete the form; including; contact details, emergency contact details, family and background information, additional identification information (e.g. Medicare number) and medical/mental health conditions.

Once the form is complete you can submit the form directly and confidentially to the Triple Care Farm Intake Coordinator.

Important: Please note that if you or the person has a community-based support worker of any kind (e.g Juvenile Justice officer, Probation & Parole officer, Mental Health Worker, GP/doctor support, Counsellor, Mentor, Social Worker or Case Manager), the 2C Risk Assessment Form needs to be completed by the most relevant support worker and sent to the Triple Care Farm Intake Coordinator in addition to this online referral form.

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2014 Winner | Excellence in Quality Development, NSW Non-Government Drug and Alcohol Awards

TCF-aftercare2012 Finalist | Excellence in Treatment and Support, National Drug and Alcohol Awards

2012 Winner | Silver Achievement Award for Excellence in Clinical and Non-Clinical Services Supporting Recovery (Smaller Organisations), Mental Health Services Conference of Australia and New Zealand

2010 Winner | Silver Achievement Award for Excellence in Services for Child, Infant and Adolescents, Mental Health Services Conference of Australia and New Zealand

2009 Winner | Excellence in Services for Young People Award, National Drug and Alcohol Awards

If you or someone you know would like to enter the Triple Care Farm Rehabilitation program, please read this page carefully. We refer to young people attending the Farm as ‘students’.

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TCF-view thumbOver the course of 12 weeks, students at Triple Care Farm complete an individually tailored program to support them in their recovery. Each young person is given a timetable of activities that reflects their needs and interests. During freetime and on weekends, students also have opportunities for recreation. What's more, support doesn't end after 12 weeks as an Aftercare Program supports the young person as they transition back into the community. 

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Read about some of the students from Triple Care Farm and how they turned their lives around.

Read about some of the student's success from David Martin Place.

One in 3 homeless young people say they are homeless because they are unable to afford housing costs or find work...

Homeless youth are much more likely to have alcohol and drug problems, mental illness and trouble with the law...

33% of youth aged 16 and 17 years have tried at least one type of illegal substance including; cannabis, hallucinogens, amphetamines, ecstasy, opiates or cocaine...

Over 100,000 Australians are homeless on any given night, of which at least 44,000 are aged 12 to 25...